chapter 28 - ATI Testing
chapter 28 - ATI Testing
chapter 28 - ATI Testing
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
Vitamins, minerals, and supplements<br />
HERBAL SUBSTANCE<br />
ADVERSE REACTIONS<br />
AND PRECAUTIONS<br />
st. John’s wort • mild adverse<br />
effects, including<br />
dry mouth,<br />
lightheadedness,<br />
constipation, Gi<br />
symptoms<br />
• skin rash when<br />
exposed to sunlight<br />
saw palmetto • Few adverse<br />
effects; can cause<br />
mild Gi effects<br />
• precaution: Can<br />
decrease psa, the<br />
marker used to<br />
detect prostate<br />
cancer<br />
Valerian • Can cause<br />
drowsiness,<br />
lightheadedness,<br />
depression<br />
• risk of physical<br />
dependence<br />
• precaution: Clients<br />
who have mental<br />
health disorders<br />
should use with<br />
caution<br />
• should be avoided<br />
by pregnant and<br />
lactating women<br />
INTERACTIONS<br />
• Can cause<br />
serotonin syndrome<br />
when combined<br />
with other<br />
antidepressants,<br />
amphetamine, and<br />
cocaine<br />
• decreases<br />
effectiveness of<br />
oral contraceptives,<br />
cyclosporine,<br />
warfarin, digoxin,<br />
calcium channel<br />
blockers, steroids,<br />
HiV protease<br />
inhibitors, and<br />
some cancer<br />
chemotherapy<br />
medications<br />
• possible additive<br />
effects with<br />
finasteride (proscar)<br />
• not known if<br />
valerian potentiates<br />
effects of Cns<br />
depressants<br />
NURSING<br />
ADMINISTR<strong>ATI</strong>ON<br />
• encourage clients<br />
using st. John’s<br />
wort to prevent<br />
prolonged sun<br />
exposure and use<br />
sunscreen.<br />
• Question male<br />
clients about use<br />
before they have<br />
psa tests.<br />
• Warn clients taking<br />
valerian about<br />
possibility of<br />
drowsiness when<br />
operating motor<br />
vehicles and other<br />
equipment.<br />
356 PN PHARMACOLOGY FOR NURSING